Table 1 Advantages and disadvantages of various management approaches in treatment of symptomatic right-sided diverticulitis
From: Acute presentation of a solitary caecal diverticulum: a case report
Approach, References | Advantages | Disadvantages |
|---|---|---|
Conservative treatment [13, 15] | Avoids surgery Applicable for high-risk patients | Only applicable to early stages of diverticulitis High failure rate Disease recurrence |
Diverticulectomy [1, 15] | Can be performed through appendix incision Low morbidity and mortality | Only suitable for solitary diverticula Under treatment of potential underlying malignancy Not suitable for large inflammatory lesions |
Ileocaecal resection [2] | Shorter operating time than right hemicolectomy | Under treatment of potential underlying malignancy |
Right hemicolectomy [1, 13] | Definitive treatment for potential underlying carcinoma | Longer operating time Potentially significant morbidity and mortality Over treats patients with benign pathology |